Individual provider · Type 1 NPI
Diane Vidal Rodriguez
Psychiatric/Mental Health Nurse Practitioner · San Jose, CA
NPI number
1205648904
Active
Practice location
675 N 1st St Ph 3
San Jose, CA 95112-5112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95031722 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1205648904
Diane Vidal Rodriguez's National Provider Identifier is 1205648904, issued on Jan 21, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Jose, CA. The record was last updated on Sep 19, 2025.